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NPI Code Detail

MEDICARE: MS. NANCY JANE HAMLIN LCSW

MEDICARE: MS. NANCY JANE HAMLIN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker107CAR

General Provider Information

NPI Number : 1285706382
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY JANE HAMLIN LCSW
Provider Business Mailing Address
First Line : 26 PAMELA DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72227-5976
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4400 SHUFFIELD DR
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72205-7100
Country : US
Telephone Number : 501-371-9058
Fax Number : 501-371-9082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 01/14/2011

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